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113 W Ruby Street Stephens AR 71764 | |
(870) 786-9114 | |
(870) 836-1358 |
Full Name | |
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Speciality | Clinic/center |
Location | 113 W Ruby Street, Stephens, Arkansas |
Authorized Official Name and Position | Robert J Anders (CFO) |
Authorized Official Contact | 8708361387 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 797 Camden AR 71711-0797 Ph: (870) 836-1000 | 113 W Ruby Street Stephens AR 71764 Ph: (870) 786-9114 |
NPI Number | 1740227370 |
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Provider Enumeration Date | 06/01/2006 |
Last Update Date | 10/18/2007 |
Identifier | Type | State | Issuer |
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1740227370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |